Non-Immigrant Visas Practice Center

Non-immigrant Visas Contact Form

Email Address

Applicant's Full Name:

Date of Birth:

Gender:

City/Town of Birth:

Country of Birth:

Mailing Address:

Postcode:

Phone Number:

Country of Eligibility (if your native country is not your country of birth):

Marital Status:

Number of unmarried children under the age of 21:

Highest level of schooling that you completed:

Any college/university degrees or specialized training or skills:

Spouse Information:

Name:

Date of Birth:

Gender:

City/Town of Birth:

Country of Birth:

Children Information:

(complete this information for each child who is unmarried and under the age of 21, including step-children and adopted children)

Name:

Date of Birth:

Gender:

City/Town of Birth:

Country of Birth:

Name:

Date of Birth:

Gender:

City/Town of Birth:

Country of Birth:

Name:

Date of Birth:

Gender:

City/Town of Birth:

Country of Birth:

Passport Information:

(for applicant, spouse and each unmarried child under the age of 21)

Passport Number:

Passport Country:

Expiration Date:

Describe the purpose of seeking an nonimmigrant visa such as temporary employment, vacationing, visiting family members or friends, attending school or taking educational courses, business, or other:

List of relatives in the United States:

List the legal status of these relatives:

Have you ever applied for a United States visa previously?
Yes  No 

When:

Was your request granted?
Yes  No 

What type of visa did you receive?

What dates have you previously entered the United States?

Have you ever been deported or granted a voluntary departure?
Yes  No 

If yes, please describe:

Do you have any criminal history?
Yes  No 

If yes, please describe:

If you are applying for a nonimmigrant visa so that you can vacation or travel in the United States, please complete the following:

Where are you planning to travel while in the United States?

Are you part of a tour group?
Yes  No 

If so, what group?

Will you be staying with friends or family?
Yes  No 

If so, please provide their names and addresses:

If you are applying for a nonimmigrant visa so that you can work temporarily in the United States, please complete the following:

Where will you be employed in the United States?

Name and address of employer:

Type of position you will take:

Date you expect to begin work:

If you are applying for a nonimmigrant visa so that you can attend school or take educational courses in the United States, please complete the following:

Where will you attend school in the United States?

Will you be attending a college, university, seminary, conservatory, academic high school, other academic institution or taking language training classes?
Yes  No 

If so, what is the name of the educational facility?

Will you being pursuing nonacademic or vocational training?
Yes  No 

If so, what is the name of the facility?

Are you coming to the United States as art of an exchange program?
Yes  No 

If so, what is the name of the exchange program?

Special concerns:

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